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Form A0254A Cobra Notification / Election Form - Iowa
What Is Form A0254A?
This is a legal form that was released by the Iowa Department of Administrative Services - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form A0254A?A: Form A0254A is the Cobra Notification/Election Form used in Iowa.
Q: What is Cobra?A: Cobra stands for Consolidated Omnibus Budget Reconciliation Act, a law that allows individuals to continue their health insurance coverage when they would otherwise lose it.
Q: What is the purpose of Form A0254A?A: The purpose of Form A0254A is to provide notice to employees and their qualified beneficiaries of their right to continue health insurance coverage under Cobra.
Q: Who needs to fill out Form A0254A?A: Employers that are subject to Cobra requirements must fill out Form A0254A.
Form Details:
- Released on April 1, 2018;
- The latest edition provided by the Iowa Department of Administrative Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form A0254A by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Iowa Department of Administrative Services.
Download Form A0254A Cobra Notification / Election Form - Iowa
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